Individual
RYAN JOSEPH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 BARNHILL DR, INDIANAPOLIS, IN 46202-5112
(317) 944-6049
Mailing address
545 BARNHILL DR, INDIANAPOLIS, IN 46202-5112
(317) 944-6049
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01090515A
IN
2086X0206X
Surgical Oncology Physician
Primary
01090515A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103151909
ANTHEM PTAN
IN
05
—
300079050
—
IN
Enumeration date
03/29/2014
Last updated
02/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us